Bloom, William
Bloom, William is an individual health care provider with primary practice located at 2855 Coolidge Highway Suite 101, Troy MI 48084. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bloom, William can be contacted via phone (248) 649-9202.Contact Information
Primary practice address
2855 Coolidge Highway Suite 101
Troy MI 48084
Phone: (248) 649-9202
Fax: (248) 649-8922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301006833 | Michigan |
Profile Details
| NPI number | 1083627947 |
|---|---|
| LBN Legal business name | Bloom, William |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083627947 | NPPES |
| Michigan | Other | 620F34877 | BCBS |
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